Showing 1-20 of 866
Showing 1-20 of 866
Hedis Review jobs

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MEDISYS SOLUTIONS, LLCKing of Prussia, PA

Medical record review*. Medical record review experience preferred:. HEDIS experience a plus, not required....

HealthfirstNew York, NY

Contact provider offices to request and review charts in support of HEDIS & QARR reporting processes. Monitor provider-specific HEDIS report cards....

WellCareTampa, FL

Intermediate Other Knowledgeable of JCAHO, NCQA, HEDIS and CAHPS requirements. Performs various quality department functions and processes, such as quality of...

WellCareChicago, IL

Maintains a knowledge base of HEDIS requirements and implementing clinical performance methods to improve HEDIS performance....

Evolent HealthArlington, VA

Experience with analyzing HEDIS, CAHPS, HOS and Medicare Star rating data. As needed, facilitate NCQA readiness review activities to ensure all accreditation...

Maxim Healthcare ServicesSt. Louis, MO

Review medical records and abstract data for HEDIS and other measure sets in compliance with standards. Experience in quality initiatives (including HEDIS...

The HSC Health Care SystemWashington, DC

Prior HEDIS project management experience is required. This position will monitor HEDIS data collection, conduct data analysis, coordinate medical record review...

The HSC Health Care SystemWashington, DC

Previous HEDIS reporting experience preferred. The Director, Quality and Accreditation is responsible for Continuous Quality Improvement (CQI) initiatives,...

FirstCare Health PlansAustin, TX

Or equivalent HEDIS experience. Review rates monthly with HEDIS project manager and AVP quality to validate accuracy of data submitted, and adjust interventions...

MCCI Medical GroupAtlanta, GA

Review medical records to identify documentation and coding opportunities. Providing feedback to provider office chart review results._ *Essential Functions:....

ConnectiCareFarmington, CT

Reviews all credentialing and re-credentialing applications for network providers and facilities, and makes recommendations to the QIC for those requiring...

Minuteman Health, Inc.Boston, MA

Assemble and reviews graphs for reporting and review data for trends. Supports review meetings through taking accurate meeting minutes and documenting any...

Memorial HermannHouston, TX

Experience with HEDIS and CAHPS preferred. Closely monitor HEDIS measures and if results not within performance requirement, immediately review current program...

WellCareLouisville, KY

Required 2 years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide...

Kelly Healthcare ResourcesChicago, IL

HEDIS Review Nurse. HEDIS, Quality Assurance Coordinator, Insurance Claim Analyst, Utilization Review Nurse, UR, Utilization Review, RN Review Nurse, QA Nurse,...

Execu | SearchBronx, NY

Perform chart review HEDIS records. Review and abstract paper and electronic medical records utilizing NCQA HEDIS Technical specifications to optimize Plan...

Maxim Healthcare ServicesChicago, IL

Experience with HEDIS required. 2 years of experience in utilization review, quality assurance, and/or medical record and site review audits....

WellCareTampa, FL

Knowledgeable of JCAHO, NCQA, HEDIS and CAHPS requirements. Performs various quality department functions and processes, such as quality of care complaint...

Prospect Medical SystemsOrange, CA

ACO, HCC, STARS, P4P, HEDIS:. Strong knowledge with understanding of the ACO, HCC, STARS, P4P, HEDIS regulations is required including audit processes in all...

UnitedHealth GroupRaleigh, NC

Experience with HEDIS. Senior DataStage Software Engineer, ETL developer, IBM DataStage, ORACLE, UNIX, PERL, Agile, Scrum, TWS, DDL, DML, SDLC, production...


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